1991, 10-21 Permit App: 91007025 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
i-R1.,#-..!?::.!..: ? NUMBER= 9'i00702APPLICATION TF'-•• 10/21 /9i PfaGi;.::: 01
****K* THIE IE
t:?t,i ? f..,! PERMIT 1**it Jt)*'1*
PENALTIESWILL BE t--,. , E'• 1j FOR COMMENCING WO HO1I t A PERMIT
SITE STREET= 2202 PROGREEE RD ?"tA7 F°:!..:........'Y.'-" 2/,';41 —1529
-•!Df_:!?"-.E:.S\;:::: VERADALE WA 99037
PERMIT
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ii ie•••r `:=E::.E. NOTE i*ii'3*
F'?...l.a t 1 _:: 002748 PLAT N -1!'tl:..... VERA
! BLOCK= 208 LOT=
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i ,,,.,: g7 l„1•:�.t'J';J'�t t.;l t;l l:t #' »:j:::: �: WIDTH= DEPTH= Y{.'int..::
is DWELLINGS=
OWNER= HUTCHIEFON PHONE=
VERADALE WA 99037
CONTACT NAME= rT: a a: . ; ! • Fr #1 y !"
t#, {r r:. r 40::;94
BUILDING ,.;:... t fa A t..:#';:'. : FRONT= NA LEFT= NA RIGHT= NA REAR= (,::.
4!•:k'tk-r-k•i*i'ti (.;!•7k•J!•9': 'f•St:•N: *it:;k'1t:P:*a::k 3k-N:•N:'a N.J!ittr SEWER PERMIT itti itti it*'1**'f*iti ........ .. !.,.:.....J.J.1.J.H;'{N:r.N.r.3.:. J.
CONTRACTOR= A #.::...i.1,:: CONSTRUCTION PHONE= 509 922 4594
STREET= PO BOX 141557
ADDREES= EPOKANE WA 992i4
ITEM DEECRIPTION QUANTITY FEE AMOUNT
— ----
PROCESSING FFF 'Y 10„00
PERMIT ? YF: F.#::.?::. .7Mt_i1„i:N . AMOUNT PAID AMOUNT OWING
....::.i.!i E::.R PERMIT 50,00 .. .i;j 50,00
50 ,00 ,00 50.00
y. r.,, -
TTO
;! x "t : i t AS—BUILT
; . : . ! # J it ' � iAVAILABLE
N ete riE ?
ATHE COUNTY
UTILITIES IF + at . . ` i (456-3604)
..:.;NTR a? # !_?R _! ; APPLICANT : E 1 FIELD
yEE ? ; _ , • a i ; CONFIRM i9
ELEVATION i.:,N 1; POSITION OF .:}?::.Gd?::.?y. _. # !..?B PRIOR ... (•l s d Y OTHER
EXCAVATION
TO LOCATE BURIED CABLES, 1_,A:i PIPING, ?t,i 1! ? .".!•: LINES, ?::.l.: _
CALL BEFORE Y#..?!..? j,J t i (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TOCONNECTION TO INSURE
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THAT ? ?•'? :.Y f•'t E':?::. CLEAR f•'J d... .t.`?i..`_t E # I,t,t l.. ? :. TO :-E.fi E.: 'SEWER MAIN
.N:.J...Sk'N:•N:.1,..1,..J,..t.. CALL FOR!••. ±.,+}E P_:.I_, # i.,!u PRIOR TO. ..:L..!,n_:.#•', 3: (..R..Ai'Ni Pi hi'A'
.:-'r?,. F»;i€'.. i's* 24 HOUR i NOTICE REQUIRED .t:.?,i iiii''i 1**Y::tt:.
t ............ ...
•K•x••x• a. c t? THANK` t Y 1,. fk j ¢: 73ji,':•;ti..j;..t t..,i.:1:.j:.,;..j':9* :i
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JOB ADDRESS: ,S �..76, d ��'��S
SUBDIVISION: cD-L,
LOT: BLOCK: ID-Z?
OWNER: �/ - /./S f-�� PHONE:
ADDRESS: ilu 5
CONTRACTOR: ,1,4(C/S c O9 PHONE:
ADDRESS: "az? , /9-41"6" 7
LICENSE # :
_ ,5,7,1A/ 4/?`--4:rPost;it'" routing request pad 7664
INSPECTION DATE:
ROUTING - REQUEST
TYPE OF OCCUPANCY Please /9 G ,
READ To
HANDLE s 07a2,07.
Ays`S
APPROVE
and /�N 774
FORWARD
❑ RETURN /S/ao9 ,),v,)
KEEP OR DISCARD G4,--1/7-- ,
I REVIEW WITH ME
Date From